剖宫产术后不同体位改良式拔导尿管方法效果比较

Comparison of the Effectiveness of Modified Catheter Removal Methods in Different Positions after Cesarean Section

目的:探讨剖宫产术后选择不同体位改良式拔导尿管方法对患者临床治疗效果的影响。方法:将2021年12月1日~2022年10月31日收治的160例剖宫产患者作为研究对象,按随机数字表法分为观察组和对照组各80例;两组均采用改良式拔导尿管法,对照组选择卧位,观察组选择蹲位。比较两组尿潴留发生率、脱管成功率及临床恢复时间指标,使用行为疼痛量表(BPS)评价患者脱管时及首次排尿时疼痛评分,并于入院当日、出院前1 d采用生活质量量表(QOL)评价患者生活质量。结果:观察组尿潴留发生率低于对照组(P<0.05),脱管成功率高于对照组(P<0.05),临床恢复时间短于对照组(P<0.05);脱管时、首次排尿时,观察组BPS评分低于对照组(P<0.05);出院前1 d,两组QOL评分高于入院当日(P<0.05),且观察组高于对照组(P<0.05)。结论:改良式蹲位拔导尿管法能够缓解剖宫产患者拔管时疼痛,降低尿潴留发生率,提高脱管成功率,改善生活质量。

Objective:To observe the effect of different position modified catheter removal methods on the clinical treatment effect of pa-tients after cesarean section.Methods:A total of 160 patients with cesarean section treated from December 1,2021 to October 31,2022 were selected as the study objects,and were divided into observation group and control group with 80 patients in each group according to random number table method.Both groups were treated with modified catheter extraction method,the control group was chosen the lying position,and the observation group chose the squatting position.The incidence of urinary retention,success rate of catheter removal and clinical re-covery time were compared between the two groups.The pain scores of patients at the time of catheter removal and the first urination were evaluated with the Behavioral Pain Scale(BPS).The quality of life of patients was evaluated with the Quality of Life Scale(QOL)on the day of admission and one day before discharge.Results:The incidence of urinary retention in observation group was lower than that in con-trol group(P<0.05),the success rate of extubation was higher than that of control group(P<0.05),the clinical recovery time was shorter than control group(P<0.05).The BPS score of the observation group was lower than that of the control group at extubation and first urina-tion(P<0.05).One day before discharge,QOL scores in both groups were higher than those on admission day(P<0.05),and observation group was higher than control group(P<0.05).Conclusion:The modified squatting catheter pulling method can alleviate the pain of cesare-an section patients during catheter pulling,reduce the incidence of urinary retention,improve the success rate of catheter pulling,and im-prove the quality of life.